Application value of auxiliary anterolateral hip mini-incision combined with traction-free reduction and internal fixation in complex intertrochanteric fractures in older adult patients - Summary - MDSpire
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Application value of auxiliary anterolateral hip mini-incision combined with traction-free reduction and internal fixation in complex intertrochanteric fractures in older adult patients
To evaluate the efficacy of anterolateral hip mini-incision combined with traction-free reduction and internal fixation for older adults with complex intertrochanteric fractures.
Key Findings:
The observation group had shorter anesthesia duration (73.17 min vs. 96.22 min) and less intraoperative blood loss (180 mL vs. 210 mL).
No significant differences were noted in operative duration, fluoroscopic exposures, postoperative VAS scores, reduction quality, or Harris Hip Score between the two groups.
All patients completed surgery and 6-month follow-up without incision complications or internal fixation failure.
Interpretation:
Anterolateral hip mini-incision with traction-free supine reduction and fixation is a reliable technique for older adult intertrochanteric fractures, reducing anesthetic risks and avoiding traction table-related complications.
Limitations:
The study was limited to a small sample size of 41 patients.
The follow-up period was only 6 months.
Conclusion:
The technique is suitable for institutions lacking traction table facilities.
